| Elevate Counseling Center, Llc | |
|
1588 Homestead Rd Mib 5 Santa Clara CA 95050-4783 | |
| (408) 288-4767 | |
| (408) 249-2291 |
| Full Name | Elevate Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1588 Homestead Rd Mib 5, Santa Clara, California |
| Authorized Official Name and Position | Deborah Ann Licurse (OWNER/ DIRECTOR) |
| Authorized Official Contact | 4082885767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Counseling Center, Llc 1588 Homestead Rd Mib 5 Santa Clara CA 95050-4783 Ph: (408) 288-4767 | Elevate Counseling Center, Llc 1588 Homestead Rd Mib 5 Santa Clara CA 95050-4783 Ph: (408) 288-4767 |
| NPI Number | 1770169633 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 03/22/2021 |
| Certification Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770169633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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